Ryan Diederich MD

  • NPI 1942422498
According to our database, the NPI number for Ryan Diederich MD is 1942422498 and activated since 17 years ago. Ryan Diederich MD is an individual provider who specializes in Plastic and Reconstructive Surgery, and the primary practice location is 6812 State Route 162, Maryville, IL 62062. You can also contact Ryan Diederich MD via telephone number is (618) 288-7855. Provider NPI information was last updated on 01/16/2013.

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Overview of Ryan Diederich MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/03/2007
  • Last updated: 01/16/2013

Primary Scrop of Practice

  • Taxonomy Code: 2086S0122X
  • Specialty: Plastic and Reconstructive Surgery
  • License Number: 125-050203
  • License State: IL

Provider Mailing Address

  • Address: 6810 State Route 162
    Box 215
    Maryville, IL 62062
  • Phone: 618-391-6405
  • Fax: 618-288-4088

Provider Practice Location

  • Address: 6812 State Route 162
    Maryville, IL 62062
  • Phone: 618-288-7855
  • Fax: 618-288-7866

Scope of Practice

  • Taxonomy Code: 2086S0122X
  • Specialty: Plastic and Reconstructive Surgery
  • License Number: 125-050203
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ryan Diederich MD?
  • A: The npi number for Ryan Diederich MD is 1942422498.
  • Q: What are Ryan Diederich MD's specialties?
  • A: Ryan Diederich MD's specialties are Plastic and Reconstructive Surgery and different specialities.
  • Q: What is the medical license for Ryan Diederich MD?
  • A: The medical license number for Ryan Diederich MD is 125-050203 and issued in IL in USA.
  • Q: Where is Ryan Diederich MD practice location?
  • A: Ryan Diederich MD is practicing at 6812 State Route 162, Maryville, IL 62062.
  • Q: How to contact Ryan Diederich MD?
  • A: You can contact Ryan Diederich MD via 618-288-7855.